Active NPI
Daniel Robert Collins, MD
- Psychiatry Physician
- North Miami, FL
National Provider Identifier
1265586069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0014335
- Practice address
- 1175 NE 125TH St
Suite 201
North Miami, FL 33161-5008 - Phone
- (305) 893-2671
- Fax
- (954) 963-3254
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0014335 | FL | Primary |
Addresses
Primary practice location
1175 NE 125TH St
Suite 201
North Miami, FL 33161-5008
Mailing address
2400 N 35TH Ave
Hollywood, FL 33021-3601
Phone (954) 989-8590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91287 | Other | FL | BLC BLSH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0014335 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265586069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 N 35TH AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213601",
"telephone_number": "954-989-8590",
"fax_number": "954-963-3254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 NE 125TH ST",
"address_2": "SUITE 201",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615008",
"telephone_number": "305-893-2671",
"fax_number": "954-963-3254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "DANIEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0014335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLC BLSH",
"identifier": "91287",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.